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[I. Call to Order and Roll]

[00:00:07]

>> CAN WE HAVE THE ROLL PLEASE. >> YES.

CHARLES DALEY. >> HERE. >> SHANNON, KELLY PATEL.

>> HERE. >> CHIP COBURN? >> TINA.

TINA? >> TINA, CAN YOU HEAR US? >> I SEE YOU WAVING, OKAY.

>> THANK YOU. TARA HALEY. THOMAS NIELSON.

>> HERE. >> COMMISSIONER JEB SMITH. AND BRAD KESELOWSKILY.

-- WHAT BRAD BRADLEY.

[II. Minutes – June 11 and July 9, 2020 Meetings (no August Meeting)]

I MOVE THAT THE MINUTES BE ACCEPTED. >> I MOVE TO HAVE THE MINUTES ACCEPTED. WE'LL VOTE ON THE APLOFL OF THE JUNE 11TH MINUTES.

ALL IN FAVOR SAY AYE. >> AYE. OPPOSED? NO. WELCOME, TARA. THE SECOND SET OF MINUTES IS FOR JULY 9TH. OUR LAST MEETING. AND AGAIN ARE, CAN I HAVE A

MOTION TO APPROVE THOSE MINUTES. >> I MOVE THAT THEY BE

APPROVED. HEAR A SECOND. >> SECOND.

>> SECOND. IT'S BEEN MOTION TO APPROVE AND SECOND.

ALL IN FAVOR SAY AYE. >> AYE. OPPOSED.

NONE. SO THOSE MEETING MINUTES ARE APPROVED.

I DON'T SEE COMMISSIONER SMITH IN ATTENDANCE TODAY. >> HE SENT HIS REGRETS BECAUSE WE HAD TO MOVE OUR MEETING TIME. HE HAD A PREEXISTING

CONFLICT. >> OKAY. ARE WE SET AT THIS MEETING

TIME EVERY MONTH? >> ONLY FOR THE REST OF THE YEAR.

I SENT OUT THE CHANGES. WE WON'T MEET IN NOVEMBER WE MEET OCTOBER 28TH AND DECEMBER 2ND. AND STARTING NEXT YEAR WE'RE BACK ON SCHEDULE.

>> OKAY. >> I HAVE RESERVED THE AUDITORIUM FOR EVERY MONTH

NEXT YEAR JUST IN CASE. >> OKAY. SOUNDS GOOD.

>> OPPORTUNITY FOR PUBLIC COMMENT DOES ANYBODY WISH TO SPEAK AT THIS TIME? I DON'T HEAR ANYBODY SPEAKING UP. SO WE'LL MOVE ON TO THE

[V. Old Business]

FIRST AGENDA IDEA WHICH IS OLD BUSINESS. THAT'S THE CONTINUUM OF CARE UPDATE. BRITTANY. DO YOU HAVE AN UPDATE THAT

YOU CAN PROVIDE? >> CAN YOU HEAR ME. >> SO FOR THE C.O.C. UPDATE WE HAVE STARTED THE PLANNING PHASES OF THE POINT AND TIME COUNTS FOR THE 2021 BUT WE STILL ARE WAITING FOR A DIRECTIVE FROM HUD ON WHETHER OR NOT THEY'RE ACTUALLY GOING TO ALLOW US TO CONDUCT A COUNT. SO, I REALLY DON'T KNOW WHERE THEY'RE AT ON THAT. SO WE'RE WAITING FOR SOME CONFIRMATION.

BUT WE'RE STILL IN THE PLANNING PHASE JUST IN CASE. AND I DID WANT TO NOTE, TOO, THAT WE HAVE POSTED A JOB FOR A C.O.C. SPECIALIST. IT'S A CONTRACT EMPLOYEE.

IT'S ABOUT 20 HOURS. WHICH WOULD REALLY JUST BE HELPING MYSELF AND LINDSAY WITH SOME OF OUR WORK AT THE C.O.C. AND POSSIBLY EVEN LOOKING AT GRANTS.

SO JUST WANTED TO REALLY THROW THAT OUT THERE IF ANYBODY KNOWS DEFINITELY SEND THEM OUR WAY. THE HOSPITAL WEBSITE HAS THE APPLICATION ON WILL AND I BELIEVE IT'S ALSO ON INDEED. ONE OF THOSE. I THINK THAT'S ALTOGETHER I

HAVE. >> OKAY. >> -- THAT'S ALL I HAVE.

>> OKAY. THANK YOU. ANY QUESTIONS FOR BRITTANY?

>> THANK YOU. OKAY THE SECOND ITEM OF OLD BUSINESS IS AN UPDATE HEALTH

AND HUMAN SERVICE RESPONSE TO COVID-19. >> YES SO, WE ARE CONTINUING TO OPERATE OUR RESIDENT ASSISTANCE PROGRAM. WE LAUNCHED THAT ON AUGUST 20TH. TO DATE, WE'VE HAD 372 APPLICATIONS THAT ARE FULLY

[00:05:05]

SUBMITTED IN ANOTHER 1,060 IN PROCESS. WE HAVE ASSISTED 121 HOUSEHOLDS SO FAR IN THE AMOUNT OF 377,723 DOLLARS. SO WE ARE VERY BUSY OVER THERE. WE'RE CONTINUING TO STAFF UP TO BE ABLE TO RESPOND TO THE APPLICATIONS. IN ADDITION TO THAT, WE ALSO IN THE PAST WEEK AND A HALF HAVE RECEIVED NOTIFICATION FROM THE STATE THAT WE'RE GETTING AN ADDITIONAL ALLOCATION OF SHIP DOLLARS AGAIN TO SOLELY SUPPORT RESPONSE AND KEEPING PEOPLE HOUSED RELATED TO COVID. SO WE'RE GETTING MORE SHIP DOLLARS IN THE AMOUNT OF 4 -- 453,163. AND A NOTIFICATION FROM HUD WE ARE GETTING AN ADDITIONAL ALLOCATION OF DOLLARS IN THE AMOUNT OF $950,706 THAT'S IN ADDITION TO THE MONEY WE HAVE ALREADY SPENT TO ASSIST SMALL BUSINESSES WITH THEIR RECOVERY EARLIER THIS SUMMER. SO LOTS OF MONEY COMING IN. AND LIKE I SAID THE SHIP DOLLARS ARE SPECIFICALLY ADDRESSING HOUSINGING AND KEEPING PEOPLE, YOU KNOW,

HOUSED. >> OKAY, THANK YOU. ANY QUESTIONS? HEARING NONE. MOVING ON IN TERMS OF NEW BUSINESS.

[VI. New Business]

YOU RECALL AT OUR LAST MEETING THAT WE VOTED ON MEMBERS OF OUR ADVISORY COUNCIL. I'M PLEASED TO SAY THAT THE BOARD OF COUNTY COMMISSIONERS HAS APPROVED MY NOMINATION, REAPPOINTMENT FOR ANOTHER FOUR YEAR TERM AS WELL AS WE WOULD LIKE TO WELCOME KELLY PATEL, WHO WE VOTED IN WHO ALSO RECEIVED A FOUR YEAR TERM. SO THAT'S ON TRACK AND I'M PLEASED THAT WORKED OUT AS

WELL AS IT DID. >> I WOULD LIKE TO THANK YOU ALL FOR SERVING FOR ANOTHER

TERM. WE'RE HAPPY TO HAVE YOU. >> THANK YOU.

OKAY. THE NEXT ITEM ON THE AGENDA IS A PRESENTATION I BELIEVE FROM EPIC BEHAVIORAL HEALTHCARE. ON THE EFFECTS OF COVID-19 ON THE MENTAL HEALTH AND SUICIDE RATE. MAKING THE PRESENTATION IS?

>> MELISSA, I BELIEVE. >> IT IS, HI. >> HEY.

CAN YOU HEAR ME? >> YES. WE CAN HEAR YOU.

>> EXCELLENT. CAN YOU SEE MY SLIDE? >> YES.

>> FANTASTIC. WELL, GOOD AFTERNOON, THANK YOU SO MUCH FOR INVITING US AT THE BEHAVIORAL HEALTHCARE TO TALK ABOUT THE IMPACTS OF COVID-19 ON MENTAL HEALTH AND SUBSTANCE USE. BOTH HERE IN THE UNITED STATES AND HERE LOCALLY IN ST. JOHN'S COUNTY. THE ONE THING THAT WE NEED TO KEEP IN IN MIND IS THAT WE'RE IN THE MIDST OF A PANDEMIC AND MUCH OF THAT DATA THAT WE'RE LOOKING FOR REALLY WILL NOT BE MADE AVAILABLE UNTIL WELL INTO 2021 BUT THERE THE ARE SOME INTRIGUING STUDIES THAT HAVE BEEN RECENTLY PUBLISHED ON THE IMPACTS OF COVID ON BEHAVIORAL HEALTH. WE TALKED WITH OUR PARTNERS ON HOW IT'S IMPACTING ST.

JOHN'S COUNTY AND I WOULD LIKE TO SHARE SOME OF THAT WITH YOU.

SO THE FIRST COMPONENT OF THIS IS TAKING A LOOK AT WHAT THEY'RE LOOKING AT AS A MENTAL HEALTH PANDEMIC. THERE'S AN INTERESTING ARTICLE THAT WAS PUT OUT IN THE PSYCHIATRIC TIMES CALLED THE MENTAL HEALTH PANDEMIC, THE SECOND WAVE OF COVID-19.

IT STATES THAT WHEN COVID-19 BEGINS TO SUBSIDE MANY RESEARCHERS BELIEVE THAT THE TRENDS ARE GOING TO MIRROR THE GREAT DEPRESSION WITH HIGHER RATES OF BEHAVIORAL HEALTH ISSUES AND SUICIDE ACTUALLY LEADING TO HIGHER RATES OF ANXIETY, DEPRESSED MOOD, MUCH LIKE THE GREAT DEPRESSION COVID-19 COULD FUEL IMPACT MANY GENERATIONS IN THE FUTURE -- MY PRESENTATION WILL CHANGE A LITTLE BIT FROM THE ONE I ORIGINALLY SENT. WE RECEIVED INFORMATION FROM THE ROBERT WOOD JOHNSON FOUNDATION. A NEW STUDY THAT WAS RELEASED IN THE LAST FEW DAYS AND IT WAS INCREDIBLY RELEVANT TO THIS CONVERSATION SO I BROUGHT IN SOME DIFFERENT INFORMATION THAT I WANTED TO TALK ABOUT. SO LET'S LOOK AT THAT REALLY

[00:10:01]

QUICKLY. HERE WITHIN THE LAST FEW DAYS THE ROBERT WOOD JOHNSON FOUNDATION AND THE HARVARD T.H. KHANS SCHOOL OF PUBLIC HEALTH PUBLISHED SOME INFORMATION THAT WILL DIRECTLY IMPACT A PERSON'S BEHAVIORAL HEALTH.

FIRST OF ALL, OF THE 20% OF HOUSEHOLDS ON THE UNITED STATES THEY'RE REPORTING THAT THAT THOSE FOLKS ABOUT 57% OF THEM UNABLE TO GET MEDICAL CARE.

THAT WILL IMPACT A PERSON'S BEHAVIORAL HEALTH. 31% HAVE USED UP ALL THEIR MOST OF THEIR SAVINGS, 10% REPORT NOT HAVING ANY HOUSEHOLD SAVINGS PRIOR TO THE OUTBREAK. 21% REPORT SERIOUS PROBLEMS PAYING THEIR CREDIT CARD BILLS, LOANS AND OTHER DEBT. 19% PAYING THEIR MORTGAGE OR RENT.

AS A DIRECT IMPACT THAT SHAUNA WAS TALKING ABOUT LATER ALL OF THESE FOLKS THAT ARE REACHING OUT FOR ASSISTANCE. WE ALSO 46% OF PEOPLE HAVE LOST THEIR JOBS, LOST THEIR BUSINESSES BEEN FURLOUGHED OR HAD WAGES OR HOURS REDUCED SINCE THE START OF THE CORONAVIRUS PANDEMIC. AMONG THOSE 46%, ABOUT 68% REPORT HAVING SERIOUS FINANCIAL PROBLEMS. THEY ARE ALSO REPORTING IN RURAL AMERICA, 42% FACE FACING SERIOUS FINANCIAL PROBLEMS DURING THE CORONAVIRUS OUTBREAK AND 43% REPORT ANY HOUSEHOLD MEMBER HAS LOST THEIR JOBS, THEIR BUSINESSES BEEN FURLOUGHED OR HAD WAGES REDUCED. SO NOT ONLY ARE URBAN MARKETS SEEING THIS BUT WE'RE ALSO SEEING IT IN RURAL AMERICA AS WELL.

SERIOUS PROBLEMS TAKING CARE OF THEIR PROBLEM, 36% HAVE HAD SERIOUS PROBLEMS KEEPING THEIR CHILD'S EDUCATION GOING. 34% REPORT EITHER HAVING SERIOUS PROBLEMS WITH THEIR INTERNET CONNECTION TO DO THEIR JOBS OR SCHOOL WORK OR THEY DON'T HAVE HIGH-SPEED INTERNET CONNECTION TO REPORT AT HOME. SO ALL OF THESE OF SOCIAL DETERMINEANTS OF HEALTH IMPACT A PERSON'S BEHAVIORAL HEALTH. SO LET'S NOW TAKE A LOOK AT TWO OTHER SURVEYS THAT HAVE RECENTLY COME OUT. ONE WAS BY THE CENTER FOR DISEASE CONTROL, AND THE OTHER WAS BY THE KAISER FAMILY FOUNDATION.

THE C.D.C. REPORTED IN JUNE WITH A SURVEY THAT 41% REPORTED STRUGGLING WITH BEHAVIORAL HEALTH ISSUES STEMMING FROM THE PANDEMIC. THEN LATER, IN JULY, THE KAISER FAMILY FOUNDATION FOUND THAT 53% OF ADULTS REPORTED THAT THEIR MENTAL HEALTH HAVE BEEN NEGATIVELY IMPACTED DUE TO WORRY AND STRESS DUE TO COVID.

WE'LL DIG A LITTLE BIT DEEPER INTO THE C.D.C. SURVEY.

OF THE C.D.C. SURVEY ONE ADVERSE MENTAL OR BEHAVIORAL HEALTH SYMPTOMS WAS REPORTED BY MORE THAN HALF OF THE RESPONDENTS. AND THESE ARE FIVE OF THE HIGH RISK SECTORS THAT WE'RE REALLY TRYING TO TARGET. THE 18 TO 24-YEAR-OLDS, UNPAID CAREGIVERS OF ADULTS. PEOPLE WHO HAD LESS THAN A HIGH SCHOOL DIPLOMA, ESSENTIAL WORKERS THAT HAVE CONTINUED TO GO TO WORK THROUGHOUT THE PANDEMIC, AND THEN THOSE PEOPLE 25 TO 44 YEARS OF AGE. THE C.D.C. STATED THAT ABOUT 31% OF PEOPLE ARE EXPERIENCING SYMPTOMS OF ANXIETY OR DEPRESSION, 26% EXPERIENCED TRAUMA OR STRESSER-RELATED DISORDER SYMPTOMS. 13% HAVE AN INCREASED SUBSTANCE USE AND 11% HAVE SERIOUSLY CONSIDERED SUICIDE IN THE LAST 30 DAYS. SO WHEN WE START TO TALK ABOUT SUICIDE OF THOSE THAT SERIOUSLY CONSIDERED SUICIDE IN THE LAST 30 DAYS, OF THAT 11%, THERE ARE FIVE TARGETED GROUPS THAT THEY'RE SEEING HIGHER RATES. THOSE THAT ARE 18 TO 24, MINORITY AND RACIAL ETHNIC GROUPS, NONHISPANIC BLACK RESPONDENTS SELF-REPORTED, UNPAID CAREGIVERS FOR ADULTS AND ESSENTIAL WORKERS. SO YOU'RE SEEING A COMMON THREAD THROUGH MUCH OF THIS STUDY THAT SHOWS HIGH RISK GROUPS.

SO THOSE YOUNGER ADULTS, RACIAL AND ETHNIC MINORITIES, ESSENTIAL WORKERS, AND UNPAID ADULT CAREGIVERS ARE REALLY DISPROPORTIONATELY SEEING WORSE MENTAL HEALTH

[00:15:05]

OUTCOMES IN SUBSTANCE USE AND INCREASED SUICIDE IDEAATION SINCE THE BEGINNING OF THE PANDEMIC. SOME OF THE FINDINGS INDICATE THAT THROUGH THAT TIME PERIOD BETWEEN APRIL AND JUNE OF 2020, THAT THERE WERE CONSIDERABLY HIGHER RATES OF ANXIETY DISORDER AND DEPRESSIVE DISORDER AS COMPARED TO 2019.

SO NOW WE TAKE A LOOK AT THE KAISER FAMILY FOUNDATION SURVEY.

THEY FOUND SOME OTHER INTERESTING INFORMATION. OF THE PEOPLE THAT THEY SURVEYED ABOUT 36% ARE HAVING DIFFICULTIL SLEEPING. 32% ARE HAVING PROBLEMS EATING. THEY FOUND A 12% INCREASE IN ALCOHOL CONSUMPTION OR SUBSTANCE USE, AND 12% OF WORSENING CHRON BEIC CONDITIONS GOING BACK TO THAT -- CHRONIC CONDITIONS GOING BACK TO THAT HEALTH DISPARITY WE ARE SEEING FROM PEOPLE WHO ARE UNABLE TO ACCESS HEALTHCARE ARE DEALING WITH CHRONIC HEALTH CONCERNS. SO THERE'S ALSO INFORMATION FROM THE KAISER FAMILY FOUNDATION. THE STUDY ALSO SHOWED AN INCREASE OF ADULTS REPORTING ANXIETY OR DEPRESSION OVER THAT APRIL THROUGH JULY TIME PERIOD, INCLUDING OVER 40% REPORTING IN JULY THAT THEY EXPERIENCED SYMPTOMS OF ANXIETY AND DEPRESSION.

PEOPLE REPORTED THAT THEIR STRESS OR WORRY OF COVID HAD NEGATIVE IMPACTS ON THEIR MENTAL HEALTH ESPECIALLY WHEN SHELTERING IN PLACE. SO YOU CAN SEE THE DIFFERENCE THERE. 47% OF PEOPLE SHELTERING IN PLACE HAD MORE WORRY OR STRESS, NOT TO NEGATE THOSE NOT SHELTERING IN PLACE ABOUT A THIRD OF PEOPLE THAT MAY HAVE BEEN WORKING OR NOT SHELTERING ALSO EXPERIENCED STRESS AND WORRY.

THE KAISER FAMILY FOUNDATION'S STUDY SHOWED THAT OVER 47% OF OLDER ADULTS EXPRESSED WORRY OR STRESS THAT NEGATIVELY IMPACTED THEIR MENTAL HEALTH ALL THE WAY UP THROUGH JULY. THERE WERE STILL WAITING FOR REPORTS FOR THIS NEXT QUARTER THE AUGUST, SEPTEMBER, OCTOBER TIME FRAME.

ADULTS MAKING LESS THAN $40,000 A YEAR REPORTED MORE WORRY OR STRESS IMPACTING THEIR MENTAL HEALTH RELATED TO THE COVID. HOWEVER, AS YOU CAN SEE, IT IMPACTS EVERY INCOME LEVEL. AND WHAT WE'VE SEEN HERE LOCALLY IN ST. JOHN'S COUNTY IS THAT HERE AT EPIC BEHAVIORAL HEALTH HERE WE HAVE SEEN A 25% INCREASE IN NEW PATIENTS SEEKING MENTAL HEALTH AND SUBSTANCE SERVICES.

WE CONTINUE TO MAINTAIN A FULL CAPACITY AT THE EPIC RECOVERY CENTER OF THOSE PEOPLE WHO ARE SEEKING OUT SUBSTANCE USE, DETOXIFICATION OR RESIDENTIAL SERVICES. WE ALSO HAVE A CONTINUED WAIT LIST FOR THOSE SERVICES FOR INPATIENT, RESIDENTIAL, RESIDENTIAL SERVICES. WHEN TALKING TO OUR PARTNERS AT FLAGLER HEALTH PLUS, THEY ARE SAYING THAT THEIR NUMBERS ARE CONSISTENT FROM LAST YEAR TO THIS YEAR THAT THEIR MENTAL HEALTH UNIT HAS MAINTAINED THOSE NUMBERS EVEN WITH A SHELTER IN PLACE ORDER AND WITH A PANDEMIC WHERE PEOPLE ARE ENCOURAGED TO STAY HOME. THEY'RE STILL SEEING VERY HIGH NUMBERS.

AND WHAT VALERIE DUOQUETTE SHARED WITH US IS SHE'S SEEING BOTH AN INCREASE IN ADMISSIONS IN THE EMERGENCY CARE CENTER FOR FOLKS THAT HAVE NEVER UTILIZED BEHAVIORAL HEALTHCARE SYSTEMS BEFORE OR THOSE THAT CURRENTLY HAVE SUBSTANCES WITH THEM AS THEY'RE TRYING TO SEEK OUT SERVICES. THE ST. JOHN'S SHERIFF'S DEPARTMENT HAS REPORTED THAT OVERDOSES ARE RISING IN COMPARISON TO LAST YEAR.

WE'RE CURRENTLY SEEING THE SAME NUMBER OF OVERDOSE DEATHS AND NONFATAL OVERDOSES IN AUGUST THAT WE SAW IN ALL OF 2019. SO WE EXPECT BY THE END OF 2020, THERE WILL BE AN INCREASE AS WELL FOR THIS YEAR.

SO WHAT DOES ALL OF THIS INFORMATION MEAN? THE C.D.C. AND THE KAISER FAMILY FOUNDATION BOTH TALK GREATLY IN THEIR STUDIES ABOUT THE PUBLIC HEALTH RESPONSE TO COVID AND THE PANDEMIC THAT WE SHOULD REALLY BE LOOKING AT AN INCREASE IN INTERVENTION AND PREVENTION EFFORTS TO ADDRESS ASSOCIATED BEHAVIORAL HEALTH CONCERNS. WE SHOULD HAVE COMMUNITY LEVEL EFFORTS, INCLUDING

[00:20:01]

HEALTH COMMUNICATION STRATEGIES, PRIORITIZING YOUNG ADULTS, RACIAL AND ETHNIC MINORITIES, ESSENTIAL WORKERS, AND UNPAID ADULT CAREGIVERS.

GOING BACK TO THAT BEGINNING, THAT THIS PANDEMIC MAY LEAD TO US THAT MENTAL HEALTH PANDEMIC IN YEARS TO COME SO THINKING ABOUT HOW WE'RE GOING TO SUPPORT OUR COMMUNITY MEMBERS BEYOND WHEN THE VENGSS OCCUR FOR THESE HAVE REALLY --

VACCINATIONS OCCUR FOR THESE. >> THANK YOU MELISSA FOR THAT EXCELLENT PRESENTATION

DO. WE HAVE ANY QUESTIONS? >> I'M WONDERING WHAT THE THOUGHTS ARE FROM EPIC IN TERMS OF THE POTENTIAL WITHIN YOUR SYSTEM AND THE COMMUNITY TO INCREASE INTERVENTIONS AND PROTECTIVE EFFORTS AS WE MOVE FORWARD

INTO 2021? >> SO WE HAVE PARTNERS IN THE COMMUNITY AS WELL THAT MIGHT WANT TO TALK ABOUT SOME OF THEIR EFFORTS. I KNOW HERE AT EPIC WE ARE LOOKING TO EXPAND. WE HAVE EXPANDED INTO THE NORTHWEST COMMUNITY.

WE'RE MOVING UP TO A NEW OFFICE THERE. WE'VE ALSO EXPANDED TO THE NORTH SIDE OF THE ST. JOHN'S OR ST. AUGUSTINE COMMUNITY. WE'RE GOING TO CONTINUE TO SUPPORT THE NEEDS OF OUR COMMUNITY AS THAT DEMAND INCREASES.

SO WE ARE TRYING TO ADD STAFF AND ADD SERVICES AS WE FIND NEED.

I DON'T KNOW PATTY IF YOU WANT TO TALK A LITTLE BIT, TOO.

>> YEAH. TINA THIS IS PATTY. SO YOU KNOW I WOULD BE REMISS IF I DIDN'T TALK ABOUT ONE OF MY NUMBER ONE ISSUES WHICH IS WORKFORCE SHORTAGE IN FINDING ELIGIBLE PSYCHIATRIC, AS WELL AS MENTAL HEALTH LICENSED MENTAL HEALTH PROFESSIONALS TO WORK. THAT'S NOT JUST IN ST.

JOHN'S COUNTY THAT'S AROUND THE WHOLE STATE AND THE COUNTRY.

I MEAN THIS IS JUST SOMETHING WE HAVE TO LIVE WITH.

THEN WE ARE, WE SHOULD SAY THAT WE ARE VERY PLEASED THAT THE AGENCY FOR HEALTHCARE ADMINISTRATION, THE MANAGING ENTITY, SOME OF THE COMMERCIAL INSURANCE PANELS ARE ALL ALLOWING TELEHEALTH NOW. THAT WAS NOT ALLOWED EXCEPT THROUGH AQUA BEFORE SO THAT'S A BIG ASSISTANCE FOR US.

THEY KEEP SAYING TELEHEALTH HERE IS TO STAY WHICH IS MUSIC TO OUR EARS.

WE HAVE KIND OF A HYBRID MODEL OF TELEHEALTH AND, YOU KNOW, IN-PERSON BUT, YOU KNOW, AGAIN WE HAVE TO FIND THE RIGHT, YOU KNOW, INDIVIDUALS TO HELP DO THIS

KIND OF WORK IN THE COMMUNITY LEVEL. >> OKAY.

THANK YOU. TOM NIELSON. >> I DON'T KNOW IF THIS IS SOMETHING YOU WOULD HAVE THE ANSWER TO BUT ARE YOU AWARE IF THE NUMBER OF SUICIDES IN ST. JOHN'S COUNTY HAS ACTUALLY GONE UP COMPARED TO A YEAR AGO OR ISN'T THAT

DATA WITHIN YOUR REALM? >> YEAH, THAT DATA WILL NOT BE AVAILABLE THROUGH THE DEPARTMENT OF HEALTH AND THE MEDICAL EXAMINER'S OFFICE UNTIL PROBABLY JULY OF NEXT YEAR. IT'S TYPICALLY WHEN WE SEE THAT BEING REPORTED OUT.

THE MEDICAL EXAMINERS DO HAVE A BY YEAR EVALUATION THAT THEY PUT OUT FROM JANUARY TO JULY. I WAS UNABLE TO GET MY HANDS ON THAT.

I SEARCHED. THAT MIGHT GIVE US SOME INITIAL NUMBERS OF WHAT WE'RE SEEING. I WOULD LOVE TO FIND THAT REPORT AND TALK WITH THEM ABOUT WHAT THEY'RE SEEING. I CAN TELL YOU FROM THE SUICIDE LISTS THAT I'M ON WE ARE SEEING THE RATES OF SUICIDE INCREASE ACROSS THE UNITED STATES.

BUT, AGAIN, THOSE HARD NUMBERS WE WILL NOT BE ABLE TO HAVE UNTIL 2021.

>> OKAY. THANK YOU. >> YOU'RE WELCOME.

>> I HAVE A QUESTION. IN TERMS OF FUNDING FROM THE FEDERAL LEVEL OR THE STATE LEVEL, IS THERE MUCH EMPHASIS BEING PLACED ON BEHAVIORAL HEALTH FUNDING AT

THIS POINT? >> PATTY DO YOU WANT TO ANSWER THAT?

>> THERE HAVE BEEN GRANTS THAT HAVE COME OUT THROUGH SAMMA AND NATIONAL INSTITUTE FOR MENTAL HEALTH. THE C.D.C. HAS PUT OUT SOME GRANTS.

I DON'T KNOW WHAT'S GOING ON. WE HAVE SOMETHING HAPPENING OVER HERE. WE'VE SEEN GRANTS FROM WHAT WAS IT PATTY THE F.T.C., THE

COMMUNICATIONS FEDERAL COMMUNICATIONS HAD FUNDING. >> YEAH, FOR TELEHEALTH.

[00:25:03]

>> SO THERE WILL BE SOME NEW MONEY FOR THE OPIOID RESPONSE FUNDING THAT WE RECEIVED LAST YEAR, SEVERAL OF US RECEIVED FUNDING FOR THAT LAST YEAR.

AND THEN THIS YEAR, AGAIN, STARTING ON OCTOBER 1, WILL BE EVEN MORE MONEY BUT THAT'S FOR MORE FOR THE OPIOID RESPONSE. THE GOOD NEWS IS THIS YEAR THAT THEY HAVE DECIDED TO ALLOW STIMULANTS AS WELL. SO THAT'S COCAINE, THAT'S METHAMPHETAMINE SO THAT'S VERY GOOD NEWS. THERE'S MANY OF THE FOLKS THAT WE SERVE ARE SUBSTANCE ABUSE. AS FAR AS MENTAL HEALTH A LOT OF THE MONEY THAT COMES INTO THE STATE OF FLORIDA IS VIA A BLOCK GRANT.

WE ARE LOOKINGAT SOME POSSIBILITY OF GETTING SOME ADDITIONAL BLOCK GRANT NEXT YEAR FROM THE STATE, FROM THE FEDS BUT THE STATE HAS TO MATCH.

BUT WE DON'T KNOW THOSE NUMBERS YET. THEY'RE STILL DETERMINING

THAT. >> THANK YOU. >> I HAVE A QUESTION.

SO THE PRESENTATION WAS VERY INFORMATIVE, RELEVANT DATA, IS THERE ANY PLAN TO SHARE IT MORE WIDESPREAD WITH THE COMMUNITY? ANY TOWN HALLS JUST TO INCREASE COMMUNITY AWARENESS AND SUPPORT ESPECIALLY IN TERMS OF FUNDING AND THE

SERVICES END SERVICES AND PROVIDERS. >> I WOULD HAPPY TO SHARE THE PRESENTATION AND WE WOULD HAPPY TO GO OUT AND TALK TO OTHER GROUPS OR ORGANIZATIONS OR AGENCIES. THERE HAVE NOT BEEN ANY PLANS YET.

BUT AGAIN WE CAN SHARE THIS WITH YOU. ANYONE THAT WANTS TO TAKE THE INFORMATION OR WE'RE HAPPY TO HEAD OUT AS WELL AND TALK WE ANY GROUPS THAT

WOULD LIKE US TO SHARE THAT. >> GREAT, THANK YOU. >> YOU'RE WELCOME.

>> ARE THERE ANY PARTICIPANTS ON ZOOM THAT WOULD LIKE TO ASK QUESTIONS OF MELISSA? NOT HEARING ANY. BRITTANY, DID YOU HAVE ANY QUESTIONS? NOBODY HERE HAS ADDITIONAL QUESTIONS.

SO THANK YOU. THANK YOU FOR THE PRESENTATION.

IT WAS EXCELLENT. VERY GOOD. >> YOU'RE WELCOME.

>> THOROUGH AND CURRENT. >> I WILL SEND IT OUT TO MARY SO SHE CAN DISTRIBUTE

IT OFF FOR FOLKS WHO WOULD LIKE TO HAVE IT. >> GREAT.

THANK YOU SO MUCH. >> YOU'RE WELCOME. >> THE NEXT ITEM ON THE AGENDA IS THE INDEPENDENT AGENCY CONTRACT EXTENSION. NOW THE MEMBERS OF THE ADVISORY COUNCIL HAVE IN OUR PACKET A LETTER. AND THE LETTER IS TO JEB SMITH. IT ESSENTIALLY SAYS WE HAVE REVIEWED THE INDEPENDENT AGENCY CONTRACTS AND RECOMMEND THAT THE CONTRACTS BE EXTENDED ONE YEAR AT THE FISCAL YEAR 2020 FUNDING LEVEL. THESE AMOUNTS WERE INCLUDED IN THE COUNTY'S FISCAL YEAR 2021 BUDGET AND FORMALLY ADOPTED ON SEPTEMBER 21ST, 2020 BY THE BOARD OF COMMISSIONERS. THEN THE FUNDED AGENCIES AND THEIR LISTED AMOUNTS ARE SHOWN IN THIS LETTER. SO THE EFFECT OF SENDSING THIS LETTER WOULD BE TO HAVE FOR ONE MORE YEAR A CONTINUATION OF THAT FUNDING LEVEL. DO MEMBERS OF THE ADVISORY COUNCIL HAVE ANY QUESTIONS ABOUT THIS? NOT HEARING ANY. CAN I HAVE A MOTION TO APPROVE THIS LETTER SO I CAN SIGN IT AND SEND IT ON TO COMMISSIONER SMITH.

>> WE HAVE A SECOND. >> SECOND. >> OKAY.

IT'S BEEN MOVED AND SECONDED. ALL MEMBERS IN FAVOR SAY AYE

PLEASE. >> AYE. >> OPPOSED.

NOT HEARING ANY OPPOSED. THEN THE LETTER'S APPROVED. ONE MORE ITEM ON NEW BUSINESS AND THAT RELATES TO OFFICER RECOMMENDATIONS. CURRENTLY I'M THE CHAIRPERSON OF THE COUNCIL AND TARA IS THE VICE CHAIR. SO WE NEED TO DETERMINE WHO WILL SERVE IN THESE POSITIONS FOR THE UPCOMING YEAR.

DO I HAVE RECOMMENDATIONS FROM THE MEMBERS? >> I HAVE A RECOMMENDATION.

WE'VE BEEN SO FORTUNATE TO WELCOME NEW MEMBERS BUT I THINK TO ALLOW TIME FOR EVERYONE TO GET THROUGH THE BOARD PROCESSES AND PROCEDURES I RECOMMEND MAINTAINING CHARLES' CHAIR AND I WILL MAINTAIN VICE CHAIR.

>> REACTION TO THAT? >> I WOULD SECOND THAT. >> OKAY WE HAVE A MOTION AND A SECOND. WE HAVE ADDITIONAL DISCUSSION ON THIS MATTER? I WOULD BE PLEASED TO SERVE FOR AN ADDITIONAL YEAR IN THIS CAPACITY.

THANK YOU TARA THAT CONCLUDES YOU OUR NEW BUSINESS DO.

[VII. Report from Brad Bradley, Deputy County Administrator]

[00:30:05]

WE HAVE A REPORT FROM BRAD -- BUSINESS. DO WE HAVE A RECORD FROM

MR. BRADLEY. >> MR. BRADLEY SENDS HIS REGRETS HE HAD PREVIOUSLY SCHEDULED MEETING. I CAN MAKE THE ANNOUNCEMENT THAT THE COMMISSION DID FORMALLY ADOPT THE BUDGET ON THIS PAST MONDAY. SO EVERYTHING THAT'S IN THE LETTER IS GOING FORWARD. FOR THOSE OF YOU THAT ARE, THAT DO RECEIVE INDEPENDENT AGENCY FUNDS YOUR CONTRACTS ARE SET TO GO BEFORE THE BOARD ON OCTOBER 6TH THE TEMPLATES WILL BE SO THEY WILL BE SIGNED AND EXECUTED SO WE'RE TRYING TO LIMIT ANY POTENTIAL GAPS IN FUNDING FOR YOU SO EVERYTHING IS READY TO GO FOR THE OCTOBER 6TH DATE. THANKS. THAT'S REALLY IT.

>> OKAY. THANK YOU. THE NEXT ITEM ON THE AGENDA

[VIII. Funded Agency Updates (Limit 3 minutes, please)]

IS FUNDING AGENCY UPDATES. I WILL GO BY THE LIST AND PLEASE SPEAK UP IF YOU'RE PARTICIPATING ON ZOOM. EARLY LEARNING COALITION. NO REPORT.

ALPHA OMEGA MIRACLE HOME. >> HI. I'M HERE.

WE ARE WORKING ON GETTING A COUPLE MORE APARTMENTS AVAILABLE SO THAT WE CAN HOUSE MORE PEOPLE BUT WE DO HAVE SOME OPENINGS RIGHT NOW IF YOU KNOW OF ANY WOMEN SINGLE MOMS OR SENIOR WOMEN LOOKING FOR HOUSING. THAT'S IT.

>> OKAY, THANK YOU. COUNCIL ON AGEING. >> HI, IT'S SHARON GUESSIC

CAN YOU HEAR ME. >> YES, THANKS. >> HI, THERE.

I'M SAVING YOU ALL I HAVE A COMMON COLD I DON'T HAVE COVID BUT I HAVE A COMMON OLD-FASHIONED COLD THAT I'M TRYING TO GET RID OF. BUT COUNCIL ON AGING I WILL JUST GO THROUGH OUR PROGRAMS REALLY QUICK ARE I-MAP AND OUR ADULT DAY ARE FUNCTIONING REMOTELY FIVE DAYS A WEEK. WE'RE DOING IT ZOOM, OF COURSE, SO WE HAVE CAREGIVER SUPPORT GROUPS AND ACTIVITIES AND EDUCATION FOR THOSE PEOPLE WHO HAVE DEMENTIA OR SOME FORM OF DEMENTIA.

OUR SENIOR CENTERS AS YOU KNOW ARE CLOSED BUT WE ARE PROVIDING TELEPHONE REASSURANCE TO OUR MEMBERS AS WELL AS THE WEEKLY ACTIVITY KITS THAT GO HOME TO THEM WITH THEIR HOME DELIVERED MEALS. OUR INDEPENDENT LIVING SERVICES WHICH IS OUR IS CONTINUING TO OFFER SUPPORT TO THOSE INDIVIDUAL THAT'S GET HOME CARE SERVICES THROUGH SUBSIDIZED FUNDING THROUGH DOEA AND ELDER SOURCE. SO WE'RE STILL DOING THAT. AND THEN OUR NUTRITION WHICH IS EITHER OUR MEALS OR HOME DELIVERED MEALS WE'RE DOING ALL HOME DELIVERED MEALS AT ABOUT 2600 A WEEK RIGHT NOW. OUR NUTRITION AND CARES ACT WILL BE ENDING AT THE END OF OCTOBER WE WILL HAVE EXHAUSTED THAT THEN GO BACK TO OUR REGULAR FUNDING IF WE

HAVE ANY. THAT'S ALL I HAVE. >> OKAY.

THANK YOU. IS DAWN FROM THE EARLY LEARNING COALITION ON THE

PHONE? >> SHE LOOKS LIKE SHE'S -- >> CAN YOU HEAR ME.

>> YES. OKAY, I'M SORRY. I'M TECHNICALLY CHALLENGED I COULDN'T FIGURE OUT HOW TO UNMUTE. I GAVE A PRETTY LONG PRESENTATION IN PERSON IN JULY. THE ONLY THING I WOULD LIKE TO SHARE IS OUR CHILD CARE IS CONSIDERED AN ESSENTIAL SERVICE, OBVIOUSLY.

OUT OF ALL THE COALITIONS IN THE STATE WE HAD PERMISSION TO DO FIRST RESPONDERS WHERE WE SERVED THEM. EVEN UP AGAINST MIAMI-DADE AS LARGE AS THEY WERE, THIS COALITION STILL WAS SECOND IN THE STATE IN TERMS OF BEING ABLE TO REACH OUT AND SERVE THAT MANY FIRST RESPONDERS. SO KUDOS TO MY TEAM.

BUT MORE IMPORTANTLY, KUDOS TO THE CHILD CARE CENTERS THAT ARE OUT THERE EVERY

SINGLE DAY AND HAVE BEEN SINCE THE BEGINNING. >> THAT'S WONDERFUL, THANK

YOU. >> THANK YOU. >> THANK YOU.

LET'S SEE WE'VE HEARD FROM EPIC BEHAVIORAL HEALTHCARE. GOOD SAMARITAN HEALTH CENTER

WILD NOWER. >> HI. CHRIS -- WILD FLOWER.

>> HI CHRIS. EXCITING NEWS WE HAVE THREE NEW EXCITING THINGS TO INTRODUCE. WE'VE ALREADY STARTED WITH OUR FALL FLU VACCINE PROGRAM THIS YEAR. WITH COVID AND THAT WE'VE DECIDED TO START A LITTLE BIT EARLY. OUR GOAL THIS YEAR IS VERY AGGRESSIVE.

WE HAVE 15 SITES SET UP THROUGHOUT THE COUNTY. WE DID 93 VACCINATIONS THE FIRST WEEK WITH A GOAL TO HIT A THOUSAND VACCINATIONS. WE'VE INTRODUCED THE USE OF

[00:35:11]

TELEHEALTH WHICH WAS KIND OF FORRED ON US DUE TO THE CURRENT CONDITIONS TO BE ABLE TO IN CASE SOME OF OUR PATIENTS AND HAVE THEM BE ABLE TO FEEL COMFORTABLE TO GET WITH OUR PROVIDERS. WE'VE BEEN EXPERIMENTING FOR A WHILE AND WE'RE READY TO ROLL IT OUT BEGINNING OF OCTOBER. PARTICULARLY IN THE WESTERN PART OF THE COUNTY WHERE WE'VE FOUND A SITE IN HASTINGS AT THE HARRIS CENTER WHERE PATIENTS WILL COME MEET WITH ONE OF OUR NURSE THAT'S WILL BE EQUIPPED WITH AN I-SCPAD HAVE THE ABILITY TO SPEAK TO ONE OF OUR PROVIDERS BACK AT THE CLINIC. SO WE'RE EXCITED TO USE AND INTRODUCE TECHNOLOGY AND BE ABLE TO GET DIFFERENT PARTS OF THE COUNTIES WITHOUT PEOPLE HAVING TO HAVE THE TRANSPORTATION ISSUE THAT THEY HAVE AS WELL. THEN THE THIRD THING WE'RE WORKING ON IS IS ENDS OF YEAR FUND-RAISING EVENT. WE'RE EXCITED TO DO A VIRTUAL EVENT THIS YEAR NOVEMBER 12TH FROM 7:00 TO 8:00 P.M. AT THE ST.

AUGUSTINE CLASSIC CAR MUSEUM. WE'LL HAVE LOCAL PERFORMERS AND MUSICIANS AS WELL AS A LOT OF LOCAL BUSINESSES AND OTHER PEOPLE DONATING THINGS FOR THE SILENT AND LIVE AUCTIONS. SO THAT'S WHAT'S HAPPENING

AT WALLFLOWER. >> OKAY, THANK YOU. LET'S SEE ST. AUGUSTINE

YOUTH SERVICES. >> HI. AMANDA CALAHAN FROM THE ST.

AUGUSTINE COMMUNITY ACTIONS TEAM. WE ARE TRUCKING RIGHT ALONG THROUGH THE PANDEMIC. WE SERVED 43 CLIENTS THIS LAST QUARTER.

WE DO HAVE SOME AVAILABILITY FOR OPENINGS RIGHT NOW. OUR WAIT LIST CLEARED UP A LITTLE BIT. WE WERE ABLE TO ADD A FAMILY PARTNER TO OUR TEAM.

SO, NOT ONLY DO WE HAVE THE PEER SUPPORT PARTNERS BUT WE HAVE A FAMILY SUPPORT PARTNER NOW WHO IS ABLE TO WORK RIGHT BESIDE THE PARENTS THAT WE WORK WITH.

AND WE ARE RIGHT NOW PROVIDING A COMBINATION OF SERVICES.

SO WE'RE YOU KNOW, STAYING FLUID WITH, WITH THE WAY THAT COVID IS GOING.

SO WE'RE PROVIDING TELEHEALTH AS WELL AS IN-PERSON BASED ON WHAT THE FAMILIES NEEDING, WHAT THEY FEEL COMFORTABLE WITH, AND THEN YOU KNOW HOWEVER CHANGES ARE MADE WITHIN THE YOU KNOW THE STAFF OR THE COMMUNITY.

SO WE'RE BEING FLEXIBLE AS NEEDED AND LIKE I SAID WE DO HAVE SOME OPENINGS RIGHT NOW

ON OUR TEAM FOR YOUTH AGES 11 TO 21. >> THANK YOU, ANDY.

-- THANK YOU, AMANDA. >> THIS IS EMMA HAYES WITH ST. AUGUSTINE YOUTH

SERVICES. >> YES, GO AHEAD. >> THANK YOU.

OUR NUMBERS DECREASED SLIGHTLY WHEN THE SCHOOLS LET OUT FOR THE PANDEMIC.

BUT NOW THAT THE SCHOOLS ARE BACK IN OUR CALLS ARE VERY HIGH.

WE HAVE HAD THREE MOBILE CRISIS CALLS TODAY, AS A MATTER OF FACT.

SO OUR NUMBERS FOR THE SECOND QUARTER WERE SIGNIFICANTLY DECREASED.

BUT I THINK WE'LL BE BACK ON TRACK NOW THAT SCHOOL IS BACK IN.

AND WE'VE ALSO MERGED WITH 211 SO THAT FAMILY MEMBERS CAN CALL US DIRECTLY BY

CONTACTING 211 AFTER SCHOOL HOURS. >> THANK YOU, EMMA.

>> THANK YOU. >> ST. JOHN'S WELFARE FEDERATION.

NO REPORT. >> BETTY GRIFFIN CENTER. >> I'M HERE, THIS IS JOYCE MAR. JUST LIKE EVERYONE ELSE WE'RE CONTINUING TO PROVIDE OUR FULL SERVICE, ARRAY OF SERVICES. OUR THERAPISTS ARE DOING THE TELEHEALTH. THEY CONTINUE JUST LIKE EVERYONE ELSE TO BE AT CAPACITY BUT WE'RE DOING OUR BEST THAT WE CAN TO MAKE SURE THERE'S NOT A WAITING LIST. ONE OF THE BIGGEST IMPACTS THAT WE'RE SEEING IS THROUGH OUR LEGAL SERVICES. SO MANY ARE LEGAL TEAM IS CONTINUING TO PROVIDE TELELEGAL SERVICES. BUT WE ARE IN THE COURT SYSTEM EVERY WEEK FOR THE INJUNCTION COURT, THAT'S CONSIDERED AN ESSENTIAL COURT.

SO WE'RE THERE EVERY WEEK AND WE'RE JUST WATCHING OUR NUMBERS TO CONTINUE TO RISE.

[00:40:03]

LAST YEAR, LAST YEAR AT THIS& TIME, I THINK WE HAD SERVED RIGHT AROUND 169 INJUNCTIONS AND COUNSELLING SESSIONS FOR THOSE THAT ARE SEEKING LEGAL SERVICES.

ALREADY THIS YEAR WE'RE AT 202. SO OUR SHELTER CONTINUES TO BE ONE FAMILY PER ROOM. WITH A SINGLE -- NO MORE THAN TWO TO THREE TO BE IN EACH ONE OF THE ROOMS AT THE SHELTER. RIGHT NOW, WE'RE AT OUR MAX CAPACITY OF 40 AND THAT'S PROBABLY WHERE WE WILL REMAIN UNTIL OUR COVID ISSUES SUBSIDES. SO THAT'S ALL FOR BETTY GRIFFIN CENTER.

>> THANK YOU. EMERGENCY SERVICE HOMELESS COALITION.

>> HEY, THIS IS DEBBIE REDDING WITH THE HOMELESS COALITION.

WE'RE OPERATING AT ONE EXAMINERS CAPACITY. ALL OF OUR OFFICES -- AT 100% CAPACITY. ALL OF OUR OFFICES ARE OPEN. WE ARE RECEIVING WALK-IN CLIENTS AT THIS TIME FROM A PERMANENT HOUSING PERSPECTIVE WE ADDED TWO ADDITIONAL PERMANENT HOUSING UNITS. WE ACTUALLY CONVERTED THEM FROM TRANSITIONAL HOUSING. AND SO NOW WE HAVE 12 PERMANENT HOUSING UNITS.

THREE HOMES THAT ARE LEASED BY EPIC FOR SOBER LIVING, AND EIGHT TRANSITIONAL HOMES. WE ARE LOOKING TO CONTINUE TO CONVERT OUR TRANSITIONAL HOMES TO PERMANENT HOUSING. WE'RE ALSO LOOKING TO ADD TWO ADDITIONAL HOMES TO BRING US UP TO 27 HOMES THIS YEAR. WE ARE AT FULL OCCUPANCY DURING COVID. 67% OF OUR PERMANENT HOUSING RESIDENTS HAVE REQUESTED RENTAL AND/OR UTILITY ASSISTANCE AND WE ALSO HAVE HAD $29,000 IN UNPAID RENT BETWEEN MARCH AND AUGUST. 38% OF OUR RESIDENTS ARE CURRENTLY STILL UNEMPLOYED SO WE ARE DOING A LOT OF CASE MANAGEMENT TRYING TO GET ALL OF OUR FAMILIES BACK TO WORK. MANY OF THEM THAT WERE WORKING IN THE RESTAURANT, C.N.A., AND THE HOSPITALITY FIELDS. I THINK THAT'S ABOUT IT FOR US. IT HAS BEEN A BIT OF A STRUGGLE FOR OUR FAMILIES GETTING BACK TO WORK AND DEALING WITH COVID. WE'VE BEEN BRINGING IN EPICURE TO ENSURE EVERYBODY HAS ENOUGH FOOD AND WE'RE JUST GOING TO CONTINUE TO WORK WITH OUR FAMILIES TO GET THEM BACK TO WORK. WE ARE STRUGGLING WITH SOME PARENTING SKILLS. AND WE ARE ACTUALLY LOOKING TO PARTNER UP WITH EPIC TO DO SOME FAMILY COUNSELLING WITH SEVERAL OF OUR FAMILIES.

THE MAJORITY OF OUR KIDS ARE ALL BACK IN SCHOOL AND ABOUT 50% HAVE SIGNED UP TO DO VIRTUAL. OVER THE FIRST WEEK OF VIRTUAL ALMOST 100% HAVE ALL GONE BACK TO BRICK AND MORTAR SCHOOLS. WE'VE GOT ONE FAMILY THAT'S DOING HOME SCHOOLING AT THIS TIME. THAT'S ABOUT IT.

>> OKAY, THANK YOU DEBBIE. ST. FRANCIS HOUSE. NO REPORT.

>> ST. JOHN'S HOUSING PARTNERSHIP. >> YES, WE HAVE SOMETHING.

SOMETHING UP OUR SLEEVES TODAY. SO HEY, THIS IS KELSEY WITH ST. JOHN HOUSING PARTNERSHIP. WE ARE VERY HAPPY TO REPORT THAT LAST MONTH WE ACTUALLY RECEIVED THE HOME MATTERS 2020 AWARD AT THE ANNUAL FLORIDA HOUSING COALITION CONFERENCE. WE WERE RECOGNIZED FOR OUR WORK IN SAVING HOMES FROM FOREFORECLOSURE AND I KIND OF WANT TO SHOW YOU GUYS THE AWARD BECAUSE IT'S SO SHINNY AND PRETTY. IT'S RIGHT HERE.

SO FOR EVERYONE WHO CAN'T SIGH IT IT'S LIKE BLUE AND BROWN LIKE I SAID IT'S REALLY SHINNY AND PRETTY. JUST TO GIVE YOU A VISUAL. SO WE'RE VERY, VERY PROUD OF THAT AWARD. BUT RECENTLY OUR AGENCY HAS SEEN A STEADY INCREASE IN CLIENTS SEEKING OUR FORECLOSURE PREVENTION SERVICES MAINLY DUE TO COVID. WE APPRECIATE REFERRALS FROM ALL SOCIAL SERVICE AGENCIES WHEN A HOMEOWNER COMES TO ANY OF YOU SEEKING HOMEOWNER SERVICES.

WHILE HOMEOWNER SERVICES, YEAH, BUT RENTALS, UTILITIES.

[00:45:01]

THERE ARE MANY OPTIONS AVAILABLE TO HOMEOWNERS IMPACTED BY COVID AND WE'RE MORE THAN HAPPY TO ASSIST, YOU KNOW, ANY ST. JOHN'S COUNTY RESIDENT WITH THOSE OPTIONS. SO JUST PUTTING IT OUT THERE IN THE UNIVERSE AND THAT'S

IT. SO THANK YOU SO MUCH. >> OKAY ARE THANK YOU FOR

YOUR REPORT. >> CONGRATULATIONS. >> THANK YOU.

>> SO THAT'S OUR UPDATES FROM THE FUNDED AGENCIES. WE THANK YOU FOR YOUR REPORTS. FROM COMMUNITY PARTNERS HOMELESS ADVOCACY COUNCIL I

[IX. Report from Community Partners (Limit 3 minutes, please)]

DON'T SEE HER ON THE LINE. NO. OKAY.

SANDY DO YOU HAVE A REPORT ON SMA HEALTHCARE? >> I JUST WANT TO JUST UPDATE EVERYONE THAT S.M.A. CONTINUES TO RUN AT FULL CAPACITY FOR ALL OF OUR PROGRAMS. WE'RE DOING IN-PERSON AND WE'RE ALSO DOING TELEHEALTH LIKE EVERYONE ELSE. ASIDE FROM OUR DROP-IN CENTER THERE'S NOT AS MUCH TELEHEALTH DOWN THERE. THERE'S A LITTLE BUT PRIMAILY THOSE ARE IN-PERSON. WE'RE STILL GOING IN HOMES AND DOING ALL OF THE NEEDED DUTIES THERE. AND OUR OUTPATIENT IS A COMBINATION OF IN-PERSON AND TELEHEALTH. OTHERWISE, THAT'S ABOUT IT FOR US.

WE'RE JUST TRUCKING ALONG. >> OKAY. THANK YOU.

THANK YOU, SANDY. FLORIDA DEPARTMENT OF HEALTH. FLAGLER HOSPITAL.

ANY UPDATE? NO FURTHER UPDATE FROM FLAGLER HOSPITAL.

SHOWNA NOVAK FROM HEALTH AND HUMAN SERVICES? >> JUST SO YOU KNOW ALL OF OUR STAFF ARE BACK TO THE OFFICE AS OF TODAY. SO WE NO LONGER HAVE ANYBODY WORKING REMOTELY. WE'RE BACK TO FULL OPERATIONS.

SO YES. >> OKAY, SOUNDS GOOD. FAITH COMMUNITY I DON'T SEE FATHER VORHEES ON THE LINE. PUBLIC SAFETY ANY REPORT? NO REPORT.

[X. Announcements]

OKAY. OUR NEXT GENERAL MEETING IS THURSDAY OCTOBER 28TH AT 3:00 AND WE WILL BE IN THIS SAME LOCATION. SO THAT BEING THE CASE A

MOTION TO ADJOURN? >> SO MOVED. >> SECOND.

>> SECOND. OKAY. MOVED AND SECONDED.

SO WE'RE ADJOURNED FOR TODAY. THANK YOU ALL FOR

PARTICIPATING. >> THANK YOU.

* This transcript was compiled from uncorrected Closed Captioning.